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Alaska rates for HCPCS B4088

Gastrostomy/jejunostomy tube, low-profile, any material, any type, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.79 / $26.43 / $121.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $25.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.79 / $37.79 / $37.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.93 / $43.45 / $147.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.26 / $44.54 / $44.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.79 / $37.79 / $37.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $36.95 / $37.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.25 / $74.72 / $112.08